MR. KYLE GREGORY CLOUTIER (NPI# 1871646216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871646216 |
| Entity Type | Individual |
| Full Name | MR. KYLE GREGORY CLOUTIER |
| Credential | LICSW |
| Practice Address |
1120 Centre Pointe Dr Ste 100 #100 Mendota Heights MN 55120-1275 |
| Mailing Address |
Po Box 240125 Apple Valley MN 55124-0125 |
| Practice Telephone | 9523348278 |
| Practice Fax Number | 9528914258 |
| Mailing Telephone | 9523348278 |
| Mailing Fax Number | 9528914258 |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2020-07-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
13976 | MN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | VALUE OPTIONS | 556368 | 01 |
| MN | HEALTH PARTNERS | 114510 | 01 |
| MN | BLUE CROSS BLUE SHIELD | 505K6CL | 01 |
| Street Address |
1120 CENTRE POINTE DR STE 100 #100 |
| City | MENDOTA HEIGHTS |
| State | MN |
| Zip Code | 55120-1275 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316558844 | Sarah Engeswick Borger | Counselor | 1370 Mendota Heights Road, Mendota Heights, MN 55120 | 2020-08-10 |
| 1164916516 | Cassandra Johnson | Registered Nurse | 2486 Pond Circle West, Mendota Heights, MN 55120 | 2018-06-19 |
| 1215428271 | Mendakota Chiropractic, Pllc | Chiropractor | 776 North Plaza Drive, Mendota Heights, MN 55120 | 2018-05-25 |
| 1427327428 | John Jacob Clark | Pharmacist | 1312 Northland Drive, Mendota Heights, MN 55120 | 2011-12-20 |
| 1114214103 | Jennifer Lyn Irene O'neill | Psychologist | 1150 Centre Pointe Curve, Mendota Heights, MN 55120 | 2011-06-29 |
| 1811157092 | Sonya Michelle Calgren | Social Worker | 1385 Mendota Heights Rd Ste. 200, Mendota Heights, MN 55120 | 2008-06-11 |
| 1720172802 | Luke Phillip Spiegelhoff | Social Worker | 1385 Mendota Heights Rd. Ste 200, Mendota Heights, MN 55120 | 2006-10-03 |
| 1750679262 | American Current Care Pa | Clinic/Center | 2520 Pilot Knob Rd, Mendota Heights, MN 55120 | 2011-07-18 |
| 1285870030 | Elizabeth M Anez | Social Worker | 1385 Mendota Heights Rd Ste 200, Mendota Heights, MN 55120 | 2008-12-29 |
| 1174730840 | Vitaly Ana Sukochev | Marriage & Family Therapist | 1385 Mendota Heights Rd Ste 200, Mendota Heights, MN 55120 | 2007-05-16 |
| Find all providers in zip 55120 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811157092 | Sonya Michelle Calgren | Social Worker | 1385 Mendota Heights Rd Ste. 200, Mendota Heights, MN 55120 | 2008-06-11 |
| 1720172802 | Luke Phillip Spiegelhoff | Social Worker | 1385 Mendota Heights Rd. Ste 200, Mendota Heights, MN 55120 | 2006-10-03 |
| 1902876188 | Patricia J Rogers | Social Worker | 1385 Mendota Heights Rd Ste 200, Mendota Heights, MN 55120-1289 | 2006-01-23 |
| 1851928956 | Lindsay Hjermstad | Social Worker | 1385 Mendota Heights Rd Ste 200, Mendota Heights, MN 55120-1289 | 2020-03-26 |
| 1053974865 | Justin W Swanson | Social Worker | 750 S Plaza Dr Ste 100, Mendota Heights, MN 55120-1505 | 2019-04-17 |
| 1548721079 | Lauren Andrea Maccoux Kizaur | Social Worker | 1385 Mendota Heights Rd Ste 200, Mendota Heights, MN 55120-1289 | 2019-03-27 |
| 1023587771 | Kaitlin Salscheider | Social Worker | 1385 Mendota Heights Rd Ste 200, Mendota Heights, MN 55120-1289 | 2018-11-23 |
| 1780174938 | Rachel Lauren Henly | Social Worker | 1385 Mendota Heights Rd Ste 200, Mendota Heights, MN 55120-1289 | 2018-05-14 |
| 1699263061 | Brianna Lynn Nelson | Social Worker | 1385 Mendota Heights Rd Ste 200, Mendota Heights, MN 55120-1289 | 2018-05-01 |
| 1659618437 | Maggie Elizabeth Justen | Social Worker | 1385 Mendota Heights Rd, Suite 200, Mendota Heights, MN 55120-1368 | 2013-01-13 |
| Find all providers in MENDOTA HEIGHTS | ||||
| City | MENDOTA HEIGHTS |
| Zip Code | 55120 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.